Provider Demographics
NPI:1699495226
Name:2ND SPRING COUNSELING, COACHING & CONSULTING, PLLC
Entity type:Organization
Organization Name:2ND SPRING COUNSELING, COACHING & CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ASIA
Authorized Official - Middle Name:RASHIDA
Authorized Official - Last Name:ELZEIN-PLATT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:919-619-7626
Mailing Address - Street 1:105 DIANES LN
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-9260
Mailing Address - Country:US
Mailing Address - Phone:919-619-7626
Mailing Address - Fax:
Practice Address - Street 1:105 DIANES LN
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-9260
Practice Address - Country:US
Practice Address - Phone:919-619-7626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health